Individual
HYESOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11211 WAPLES MILL RD STE 210, FAIRFAX, VA 22030-7406
(703) 293-6300
Mailing address
1899 ORACLE WAY APT 1422, RESTON, VA 20190-4872
(410) 208-8653
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418805
VA
Other
Enumeration date
05/09/2024
Last updated
11/25/2024
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